Case Management Registered Nurse
Resume:
RE
RALPH EMERSON GATCHALIAN
************.**********@*****.*** 409-***-**** Webster, USA 77598 Experienced Registered Nurse and Case Management Specialist with expertise in utilization review, clinical assessments, and patient care coordination. Adept at leading case management initiatives, streamlining healthcare processes, and advocating for patient-centered care. Strong ability to collaborate with multidisciplinary teams to enhance healthcare efficiency and patient outcomes.
Case Management
Utilization Review
Patient assessment
Care coordination
Healthcare cost management
Medication administration
IV therapy
Meditech
Microsoft Office
Mac applications
Strong communication
Leadership
Problem-solving
Computer literate
Medical equipment handling
ECG Tracing
Airway adjuncts insertion
Typing speed of 55 words per minute
Cooking
Performing arts
Visual arts
Client/customer skills
Ability to work under pressure
Adaptability
Responsible team member
Care plan development
Time management
Telephonic triage
Critical thinking
Accurate documentation
Effective communication
Multitasking
Patient discharging
HCA Clear Lake Webster, TX
Registered Nurse
05/2023 - Current
Provide direct patient care, ensuring comfort, safety, and adherence to treatment plans.
Monitor vital signs, document patient progress, and collaborate with the healthcare team.
Educate patients and families on recovery, stroke prevention, long-term care strategies, and discharge planning.
Utilize Meditech for accurate record-keeping and patient data management.
The Shoal Texas City, TX
Registered Nurse
12/2022 - 05/2023
Company Overview: Skilled Nursing & Long-Term Care Conducted comprehensive patient assessments, medication administration, and wound care.
Assisted in daily activities, ensuring patient comfort and emotional well-being.
Coordinated with families and interdisciplinary teams to develop personalized care plans.
Summary
Skills
Experience
Maintained accurate patient documentation and compliance with state regulations.
Skilled Nursing & Long-Term Care
HealthHelp WNS Global Solutions
Alabang, Philippines
Team Leader – Case Management &
Utilization Review
01/2021 - 10/2022
Company Overview: Case Management & Utilization Review Led a team in performing clinical reviews for authorization requests, ensuring adherence to medical policies.
Evaluated treatment plans to improve patient outcomes while optimizing healthcare costs.
Managed STAT and urgent care requests, collaborating with providers, facilities, and insurers.
Trained staff in prior authorization processes and case management best practices.
Supervised healthcare initiatives to reduce hospital readmission rates and improve patient advocacy.
Case Management & Utilization Review
Romel Cruz Hospital Matimbo,
Philippines
Registered Nurse
01/2017 - 03/2019
Company Overview: Acute Care Nursing
Delivered bedside care for pre- and post-surgical patients, including IV therapy and wound care.
Assisted in surgical procedures, medication administration, and patient education.
Acute Care Nursing
Optum Global Solutions Mckinley,
Philippines
Clinical Review Nurse – Pharmacy &
Telephonic Triage
11/2016 - 11/2017
Company Overview: Prior Authorization & Clinical Review Reviewed medical records, prescription authorizations, and treatment plans for compliance.
Conducted telephonic triage for medication adherence and therapy management.
Collaborated with healthcare providers to streamline patient medication regimens and reduce costs.
Prior Authorization & Clinical Review
Magrabi Eye Hospital Jeddah, Saudi
Arabia
Healthcare Technician
10/2012 - 10/2016
Assisted physicians and nurses in surgical procedures, pre-op, and post-op patient care.
Monitored patients' vital signs and ensured a safe and sterile surgical environment.
Dr. Yanga's Colleges Inc. Bocaue, Bulacan, Philippines Bachelor of Science in Nursing
01/2007
Registered Nurse, Texas, #951615
Registered Nurse, California, #95376190
Philippine RN License, PRC #0743471
Certification, American Heart Association, BLS, ACLS, FL04404 Title: RN, BSN
Education and Training
Certifications
Personal Information
Date of Birth: 09/26/90
Gender: Male
Marital Status: Single
Computer literate (MS Office applications), Mac Applications. Knows to handle different kinds of medical equipment especially most Medical Surgical and OR for Eye surgeries Equipment.
Knows how to read basic ECG Tracing.
Can perform proper insertion of airway adjuncts in field. Typing speed of 55 words per minute.
Cooking, performing & visual arts, leadership, and working out. Excellent communication & client/customer skills, able to work under pressure, can adapt to changes and a responsible team member.
Green card
This is to certify that the aforementioned information is true and correct to the best of my knowledge. Hobbies and Interests
Us Status
Certification Statement
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